Interventional Pulmonology Minimally invasive approaches to diagnosis and treatment

Partners In Practicewww.roswellpark.org/partners-in-practice

medical information for physicians by physicians

We provide interventional procedures that offer: • Biopsy, diagnosis and treatment for tumors of

the lung, trachea, mediastinum and pleural cavity

• Immediate opening of mass-obstructed airways

• Effective treatment options for patients notcandidates for surgery

• Better tolerated option with less trauma, fasterrecovery and reduced risk for complication

Our new Endoscopy Center wasdesigned for optimal patient safety and

comfort, efficient multidisciplinary physician collaboration and immediate,

on-site pathology review.

More than 90% of our procedures are performed on an outpatient basis.

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Diagnostic ProceduresFor confirmation of diagnosis and disease staging

• Flexible bronchoscopy allows visualization of individual lobes or segment

bronchi. RPCI has a variety of bronchoscopes, including ultrathin models for

peripheral navigation. Sampling techniques include bronchoalveolar lavage,

brushings and biopsies.

• Autofluorescence bronchoscopy uses autofluorescent light for early

detection of premalignant lesions not usually seen with traditional white

light bronchoscopy.

• Endobronchial ultrasound (EBUS) makes it possible to biopsy lymph nodes

in the mediastinum via bronchoscope. It provides an outstanding view of the

sample area and precise navigation around critical structures. RPCI offers

both linear and the more-advanced radial EBUS, which can reach areas of

the lung that otherwise would be inaccessible without surgery. RPCI is theonly center in Buffalo Niagara offering both types of endobronchial ultrasound (EBUS).

• Electromagnetic navigation bronchoscopy uses a system similar to

GPS that enables physicians to “drive” to the precise location of otherwise

inaccessible lung lesions for diagnosis and treatment planning.

• Rigid bronchoscopy better controls the airway and larger lumen during

complex endobronchial interventions. This technique can also be used for

mechanical debulking of tumors.

• Pleuroscopy involves inserting a small endoscope into the chest cavity for

minimally invasive diagnosis and management of pleural disease.

Meet the Team

Refer a PatientCall us today to discuss a case, confirm a diagnosis or refer a patientat 716-845-4798. For urgent consults, call 716-845-2300, and ask tohave the on-call Interventional Pulmonologist paged.

Elm & Carlton Streets | Buffalo, New York 14263www.RoswellPark.org/rpmd

716-845-RPMD (716-845-7763)

A National Cancer Institute-Designated Comprehensive Cancer CenterA National Comprehensive Cancer Network Member

A Blue Distinction Center for Complex and Rare Cancers®

A Blue Distinction Center for Transplants®

Treatment• Airway ablation can provide relief for patients who have airways

obstructed by tumors, scarring from long-term intubation, or other causes.

At RPCI, this may be achieved with excision, laser, or argon plasma coagula-

tion (APC) to restore normal breathing and prevent lung collapse in patients

who are frail, present with multiple comorbidities, or are at the end of life.

• Balloon bronchoplasty can dilate narrowed airways via a balloon passed

through a bronchoscope.

• Airway stents of silicone, metal, or metal covered with silicone (hybrid stents) can maintain the patency of an obstructed airway.

• Endobronchial valve placement can correct persistent air leak in patients

with pneumothorax.

• Percutaneous dilatational tracheostomy is performed at bedside.

• Indwelling pleural catheter is used to relieve and prevent the recurrence of pleural effusion. Patients can avoid frequent hospital

visits by draining the fluid themselves.

• Pleurodesis can prevent recurrence of pleural effusions.

ScreeningRPCI’s High-Risk Lung Cancer Program aims to improve survival through

early detection, using bronchoscopy with autofluorescence (to identify precan-

cerous lesions), low-dose CT, or a combination. Contact the screening hotline at

1-877-ASK-RPCI (1-877-275-7724).

RPCI’s Pulmonary Medicine Department includes two of very few

fellowship-trained interventional pulmonologists in the U.S.

Samjot Singh Dhillon, MD, FCCP, Associate Professor of OncologyChief of Pulmonary Medicine Clinical Chief for Thoracic Medicine ClinicsCo-Chief of Endoscopy

Kassem Harris, MD, FCCP, Assistant Professor of OncologyInterventional Pulmonology (Fellowship Trained) Department of Medicine, Thoracic Oncology

Abdul Hamid Alraiyes, MD, FCCP, Assistant Professor of Oncology Interventional Pulmonology (Fellowship Trained) Department of Medicine, Thoracic Oncology

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